연성전기충격요법에 관한 임상적 연구

A Clinical Experience of Softening E.C.T

Through our experience of softenin E.C.T (S.E.C.T) since 1979, we have become confident that S.E.C.T is the preferred treatment for indicated cases, for preventing complications, such as compressed fracture of the spine and for estabilishing better doctor-patient relationship. Hence we reviewed 91 medical records (600 treatments) over the last 2 years (1981 and 1982). The results were as follows: 1. Diagnostic distribution of the patients treated by S.E.C.T. was schizophrenia 72. 5%, affective disorder 15. 4%, schizophreniform disorder 8.8 %,and atypical psychosis 3. 3%. 2. Average numbers of treatments given to a patient were, Average 6 . 5 times, for all the subjects, 7.9 times for schizophrenics, 8 . 6 times for patients with affective disorder, 5. 4 times for patients with schizophreniform disorder, and 5. 7 times for patients with atypical psychoses. 3. Pre-operative medication usually required was only half the dose required for surgical preoperative procedure, ie, atropine 0 . 0082mg/kg, thiopental 2.42mg/kg, and succinylchcline 0.60 mg/kg (eg, for 60kg adult, atropine 1 amp., thiopental 120 to 150mg, succinylcholine 40mg). 4. Few patients complained of discomfort or phobia, and most of the patients experienced better doctor-patient relationship. 5. A psychiatric resident, a psychiatric nurse, and a nurse from the dept, of anesthesiology consisted the team to give the treatments. Facilities needed for the treatment were oxygen supply and the suction instruments. Average 10 minutes was spent per a treatment. Thus less personnel and less effort were required. Through these experiences, we suggest that S.E.C.T. should be used as a routine method of E.C.T., if feasible, for it is safer and more com-for table for the patients